Vesicular Stomatitis Virus as a Vector to Deliver Virus-Like Particles of Human Norovirus: A New Live Vectored Vaccine for Human Norovirus DISSERTATION Presented in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy in the Graduate School of The Ohio State University By Yuanmei Ma Graduate Program in Food Science and Nutrition The Ohio State University 2013 Dissertation Committee: Dr. Jianrong Li, Advisor Dr. Hua Wang Dr. Mark Peeples Dr. Steven Krakowka Copyrighted by Yuanmei Ma 2013 Abstract Human norovirus (NoV) is the leading cause of acute non-bacterial gastroenteritis worldwide. Currently, noroviruses are classified as Category B biodefense agents because they are highly contagious, extremely stable, resistant to common disinfectants, have a low infectious dose, and are associated with debilitating illness. Despite the significant health, emotional, and economic burden caused by human NoV, there are no vaccines or therapeutic interventions for this virus. This is due in major part to the lack of a cell culture system and an animal model for human NoV infection. Generally, live attenuated vaccines stimulate strong systemic immunity and provide durable protection due to the continued expression of all of the viral proteins. The development of an attenuated vaccine for human NoV has not been possible because it cannot be grown in cell culture. Thus, a vector-based vaccine may be ideal for controlling this disease. The overall goal of this study is to generate a recombinant vesicular stomatitis virus (VSV)-based live vaccine candidate for human NoV. The major capsid gene (VP1) of a human NoV GII.4 strain was inserted into the VSV genome at gene junction between glycoprotein (G) and large (L) polymerase genes. Recombinant VSV expressing VP1 protein (rVSV-VP1) was recovered from an infectious cDNA clone of VSV. Expression of the capsid protein by VSV resulted in the formation of human NoV virus-like particles (VLPs) that are morphologically and antigenically identical to the ii native virions. Recombinant rVSV-VP1 was attenuated in cultured mammalian cells as well as in mice. Mice inoculated with a single dose (106 PFU) of rVSV-VP1 through intranasal and oral routes stimulated a significantly stronger humoral and cellular immune response compared to baculovirus-expressed VLP vaccination. In addition, inoculation of mice with rVSV-VP1 also triggered a similar level of fecal and vaginal IgA antibody, compared to VLP vaccination. These results demonstrated that that the VSV-based human NoV vaccine induced strong humoral, cellular, and mucosal immunity in a mouse model. To further improve the safety and efficacy of the VSV-based human NoV vaccine, the gene for the 72kDa heat shock protein (HSP70) was inserted into rVSV and rVSV-VP1 vectors as an adjuvant, which resulted in construction of recombinant VSV expressing HSP70 (rVSV-HSP70) and VSV co-expressing human NoV VP1 protein and HSP70 (rVSV-HPS70-VP1), respectively. The HSP70 insertion resulted in the recombinant virus (rVSV-HSP70-VP1) that form smaller plaques and also demonstrated delayed replication in cell culture compared to rVSV-VP1. In addition, rVSV-HSP70- VP1 reduced the clinical manifestations of VSV infection in BALB/c mice compared to rVSV-VP1, indicating further attenuation caused by the second gene insertion. At the same inoculation dose (1×106 PFU), both rVSV-HSP70-VP1 and rVSV-VP1 triggered similar levels of specific humoral, mucosal, and cellular immunity, even though VP1 expression by rVSV-HSP70-VP1 was approximately five-fold less than that of rVSV- VP1. To compensate for the reduced VP1 expression levels, the inoculation dose of rVSV-HSP70-VP1 was increased five-fold to 5×106 PFU/mouse or same dosage (1×106 iii PFU/mouse) of rVSV-VP1 and rVSV-HSP70 was combined for vaccination. Mice immunized with 5×106 PFU of rVSV-HSP70-VP1 or those receiving combined vaccination generated significantly higher mucosal and/or T cell immunity than those immunized with rVSV-VP1 alone (P<0.05). Therefore, this data indicates that insertion of HSP70 into the VSV vector further attenuates the VSV-based vaccine and HSP70 enhances the human NoV-specific immunities. To determine whether the VSV-based human NoV vaccine confers protection from human NoV challenge, a gnotobiotic pig NoV challenge model was developed. Newborn gnotobiotic piglets vaccinated intranasally with 2×107 PFU of rVSV-based vaccine (rVSV-VP1) produced high levels of human NoV-specific serum IgG and fecal and vaginal IgA antibody levels whereas mock-infected or unvaccinated control groups remained antibody-negative. Three weeks after vaccination, piglets were orally challenged with human NoV GII.4 strain 7I. Protective effects were measured by viral shedding in stools, as well as viral antigen and histologic changes in the small intestine. All three piglets in the unvaccinated challenged group developed histopathologic lesions typical of human NoV infection including villous atrophy, segmented epithelial cell loss, and increased mononuclear inflammatory cell infiltrates including syncytial giant cells in the lamina propria of the duodenum and proximal jejunum by post-challenge day 5. In contrast, only one of five vaccinated piglets exhibited focal epithelium loss and villous atrophy in the duodenum. Similarly, one of five vaccinated piglets had mild edema in the jejunal lamina propria. Immunofluorescent assay showed that a large amount of human NoV antigens were detected in duodenum, jejunum, and ileum of the pigs from the iv challenge control group. Piglets vaccinated with rVSV-VP1 had significantly less human NoV antigen in both the duodenum and jejunum sections. These results demonstrate that the rVSV-based human NoV vaccine triggered partially protective immunity in swine and protected gnotobiotic pigs from challenge by human NoV. In conclusion, the VSV-based human NoV vaccine triggered high levels of humoral, cellular, and mucosal immunity in both the mouse and gnotobiotic pig models, and protected pigs from challenge by human NoV. This study has two important applications for the development of: (i) A highly productive bioreactor to facilitate large scale purification of human NoV VLPs using VSV as a vector; and (ii) A VSV-based vaccine as a novel vaccine candidate against human NoV as well as other non-cultivable viruses. v Dedication This is dedicated to my family and friends for their unconditional love and support through this journey vi Acknowledgments I would first like to acknowledge my advisor, Dr. Jianrong Li, for his guidance, support, and patience. During the past four years, his encouragements, inspirations, thoughtful advice to tackle research problems were of immense help for me. His passion, persistence, and devotion to his work make him a role model for everyone in the lab. Without him I could not have finished my dissertation successfully. I also want to take this opportunity to thank my committee members Dr. Hua Wang, Dr. Mark Peeples, and Dr. Steven Krakowka for their time, constructive comments, and valuable guidance. I would like to extend my sincere gratitude to Dr. Li’s group: Yu Zhang, Dr. Yongwei Wei, Dr. Hui Cai, Dr. Xiaodong Zhang, Yue Duan, Haiwa Wu, Erin Divers, Dr. Junan Li, Kurtis Feng, Ashley Predmore, Elbashir Araud, Jiawei Yeap, Anastasia Purgianto, Dr. Ran Zhao, Dr.Xiangjie Yao, and Yang Zhu. Thank you all for continued support, motivation, and friendship. I am very grateful to Erin Divers, Yu Zhang, Fangfei Lou, and Elbashir Araud for helpful suggestions and grammar corrections of my dissertation. Special thanks to Yu Zhang for generously providing technical helps and sharing knowledge along the way. I am indebted to my parents for their love, sacrifices and support throughout my life. Without their continuous encouragement, it would not have been possible for me to be who I am today. Last but not least, I owe thanks to my husband Xin for love and motivation, thanks for always being there supporting me. vii Vita June 2004 .......................................................Shenzhen Middle School, China 2008................................................................B.S. Biotechnology, Sun Yat-sen University, China 2008 to present ..............................................Graduate Research Associate, Department of Food Science, The Ohio State University Publications 1. Yuanmei Ma and Jianrong Li. 2011. Vesicular Stomatitis Virus as a Vector To Deliver Virus-Like Particles of Human Norovirus: a New Vaccine Candidate against an Important Noncultivable Virus. Journal of Virology 85(6): 2942. 2. Kurtis Feng, Erin Divers, Yuanmei Ma, Jianrong Li. 2011. Inactivation of a human norovirus surrogate, human norovirus virus-like particles, and vesicular stomatitis virus by gamma irradiation. Applied and Environmental Microbiology 77(10):3507-3517. 3. Erin DiCaprio, Yuanmei Ma, Ana Purgianto, Jianrong Li, John Hughes. 2012. Internalization and dissemination of human norovirus and animal caliciviruses in hydroponically grown romaine lettuce. Applied and Environmental Microbiology 78(17): 6143-6152. viii 4. Xiaodong Zhang, Yongwei Wei, Yuanmei Ma, Songhua Hu, Jianrong Li. 2010. Identification of aromatic amino acid residues in conserved region VI of the large polymerase of vesicular stomatitis virus is essential for both guanine-N-7 and ribose 2'-O methyltransferases. Virology 408(2): 241-252. Fields of Study Major Field: Food Science and Nutrition ix
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